HomeMy Public PortalAbout5924 PRIMROSE AVE_Electrical__ 76AGGS-CES06 5-69 �, � C 0/ r�
APPLICATION FOR ELECTRICAL PERMIT /
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS �l
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST G
FOR APPLICANT TO FILL IN CROSS ST. 4,
NO. EACH FEE
$ $ OWNER
RECEIPT. MAIL
d r4 �.
LIGHT � TOTAL FIRST 20 �/ .20 s4 ADDRESS
A/
CITY TEL.N0.
SWITCH / OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } r-101-yER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP.L F.A.U. CONTRACTOR /in V — `C o
SPACE HTR. AIR COND. ADDRESS �
CLOTHES WASH._DISHWASH. GIT TEL. - 6
J
FAN OTHER 1.00 �( ®C LICENSE NO. CLAS _l'0
MOTORS,TRANSFORMERS RATING ` I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE @ TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I - 10 3.00 CALIFORNIA ORTHAT t A E LEGAL O HER OF, AND INTEND TO
RESIDE IN, THE ABOVE SC BE ES ENTIAL PROPERTY.
10 — 50 15.00 1 �\
SIGNATURE �
50 — 100 10A0 OF PERMITTEE
100 - 500 15.00 DISTRICT NO. GR P ZONE OCESSED BY
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ••� �- °v
TUBE, OR
MARQUEE
[ADDITIONAL CIRCUITS 1.00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 F /
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50°S, PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRI L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION cK. M.O. CASH
Ar�4 7 0 -1 CIE APR 29 2 D 8.4 O
SEE+BACK OF APPLICATION FOP COMPLETE FEE SCHFDULF
y�:LC'i�Zf'il'✓�/
76AS63-CESOO 3.69 .rte �l�/, �c-_-- -7-�7Y
APPLICATION FOR`'E C(pAL TERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BDI G
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NO. EACH FEE CROSS STX�
$
RECEIPT. $ OWNER_ MAIL
LIGHT TOTAL FIRST 20 .20
ADDRESS
SWITCH OVER 20 ,10 CITY TEL.N0.
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 tp ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR ,o--c 7 (G
SPACE HTR. AIR COND. ADDRE :�Zs— V�
CLOTHES WASH._DISHWASH. CIT �' ITEC.
FAN_OTHER 1.00 LICENSE NO. �Lj CLA
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I - 10 3.00 CALIFORNIA OR THAT I A G 0 ER OF, AND INTEND TO
RESIDE IN, THE ABOVE SCRIBE 1 TIAL PROPERTY. /
10 — 50 5.00 \(
SIGNATURE C
50 — 100 10.00 OF PERMITTEE
IDD - SOD 15.00 DISTRICT NO. GROUP 2 E PROCE EO
SIGN GAS SIGN AND ONE CIRCUIT 3.00 v ,
TUBIF, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 `
TEMP SERVICE, POLE, &APPURTENANCES 3,00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 / ® FINAL
TOTAL FEE JOSEPH C. ROOHAN
® SUPERVISING ELECTR CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION eK. M.O. CASH
j Arn 4 7 4 W2 MAY 2 0 3.0 0p V
SEE BACK OF APPLICATION FOR COMPLFTE FEE GCHEOULE